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Idaho State School and Hospital Transition Review Committee

Idaho State School and Hospital Transition Review Committee. Michelle Britton, Family and Community Services Administrator July 9, 2009. LEGISLATIVE INTENT . ‘Create a plan to transition clients to the community’ Include stakeholders and the ISSH advisory board in the discussions

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Idaho State School and Hospital Transition Review Committee

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  1. Idaho State School and Hospital Transition Review Committee Michelle Britton, Family and Community Services Administrator July 9, 2009

  2. LEGISLATIVE INTENT • ‘Create a plan to transition clients to the community’ • Include stakeholders and the ISSH advisory board in the discussions • Describe clients, service needs, and strategies for community placement • Identify any barriers and solutions • Identify costs and timelines.

  3. PROJECT SCOPE Determine cost effective, appropriate models for serving people with developmental disabilities who are a danger to themselves or others or have intensive, high care needs.

  4. PROJECT SCOPE Identify and describe: • A crisis response system And • Long-term, comprehensive treatment options

  5. PROJECT SCOPE • Support community placement when possible • Prevent crisis and admission to more restrictive settings • Assure public and client safety • Complies with applicable state law

  6. REVIEW TEAM MEMBERS • Represent stakeholder groups • Experienced and knowledgeable • Willingness to be honest participants • Willingness to be respectful participants • Open-minded • Possess good judgment about systems and the needs of Idaho

  7. REVIEW TEAM MEMBERS • Parents/guardians • Consumers • Advocates • Providers • First Responders • Department Leaders and Staff • Legislators, legislative services, Governor’s staff • Legislative perspective on the intent…..

  8. HISTORY & TODAY Early years • 600 Acres • 1000 Clients Today • 188 Acres Utilized by ISSH (out of 600) • 74 Clients • Total budget $22.7M ($2.63M General Funds)

  9. OTHER USES TODAY • Work Center for DOC • Secure Facility for DJC • Job Corp (Dept of Interior) • 2 Golf Courses (City of Nampa)

  10. CENSUS HISTORY • SFY 2001: 110 (131 served) • SFY 2002: 106 (132 served) • SFY 2003: 103 (116 served) • SFY 2004: 94 (116 served) • SFY 2006: 95 (105 served) • SFY 2007: 95 (102 served) • SFY 2009: 74

  11. DUAL PURPOSE CAMPUS In SFY 2007, began planning to serve the mentally ill on the ISSH Campus: • Continue to reduce census for the DD population • Reduce costs per day for all clients by adding mentally ill population through shared costs • Reconfigure clients and living quarters • Remodel space for the secure treatment of the mentally ill

  12. THE PLAN TODAY • Continue teaming between Medicaid, FACS, and Behavioral Health • Established some crisis capacity ($1M 50% general funds) • Continue to identify resource needs for adults and children presenting as dangerous • Close a building • Continue bond payment (balance $7.6M) • Projected census: 60 by July 1, 2010

  13. PROJECT PLAN • Establish a Review Team • Review the existing services (July) • Gather input from stakeholder groups (July) • Gather Idaho data and information (July) • Gather national data and models (July/August) • Identify and cost various options (August/September) • Finalize options for a report (October) • Approve the final report (November)

  14. MEETING PROGRESSION • Next presentations-Rob, Chad, and Sue • Hold questions until the end of each presentation • Check site-by-site for questions and comments of review committee members

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